Psychosexual dysfunction

Introduction Psychological sexual dysfunction refers to a group of sexual dysfunctions that are closely related to psychosocial factors. Commonly, loss of libido, impotence, premature ejaculation, lack of orgasm, vaginal fistula, pain of sexual intercourse. A comprehensive systemic examination should be performed for each patient, with a focus on the development of the reproductive system, secondary sexual characteristics, and cardiovascular and neurological examinations. Abnormalities in the reproductive system and secondary sexual characteristics often suggest endocrine erectile dysfunction caused by primary or secondary hypogonadism and pituitary lesions. The inability of the dorsal artery of the foot to pass or the reflex of the bulbosus muscle disappeared, and the perineal sensation was dull, indicating the possibility of vascular or neurological erectile dysfunction.

Cause

Men's erection is a complex process involving many aspects of the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction may be related to one or more causes.

classification:

According to the cause of the disease: can be classified into psychological erectile dysfunction and organic erectile dysfunction, organic erectile dysfunction accounted for 50%, mainly including vascular, neurogenic, endocrine, diabetic, corpus cavernosum fibrosis Wait.

According to the degree of severity: can be divided into mild, moderate and severe, wherein severe erectile dysfunction refers to long-term persistence most of the time can not complete a satisfactory sex life.

an examination

Related inspection

Testosterone male sexual function test comprehensive test

Laboratory inspection:

Focus on testing for heart disease, diabetes, low testosterone levels and other related diseases.

Mental Psychology Test:

Multiple personality questionnaires (MMPI), Derogatis sexual function questionnaires, and California personality questionnaires have reference value for identifying psychological and organic erectile dysfunction, but they cannot be used as an important basis.

Ultrasonic testing:

Mainly to detect the structure and blood flow of the corpus cavernosum, if necessary, the corpus cavernosum injection of vasodilator drugs to observe the change of blood flow velocity.

Night penile erection monitoring:

The test is less affected by psychological factors and can more objectively reflect penile erectile function. When a normal person is in a state of rapid sleep, the penis erection is 3 to 5 times per night for 25 to 40 minutes. The sensitivity of the night erection hardness change was monitored by a penis erectile hardness tester (rigiscan) of 70%.

Differential diagnosis

Differential diagnosis of psychological sexual dysfunction:

1. Lack of interest and sexual activity requirements: Low sexual desire refers to the lack or complete lack of desire for sexual life, either continuously or repeatedly. Can be divided into complete sexual desire and low sexual desire.

2, male sexual dysfunction: male sexual dysfunction refers to male sexual function and sexual satisfaction incompetence, often manifested as sexual desire disorder, impotence, premature ejaculation, nocturnal emission, no ejaculation and retrograde ejaculation. Sexual behavior is not only instinct but also physiological activity based on mental and psychological activities. Therefore, male sexual dysfunction is caused by organic diseases such as systemic diseases and reproductive system diseases, and most of the patients are sexual psychological dysfunction. There are significant differences in sexual function or sexual function requirements between different individuals, or the same individual at different ages, cultural backgrounds, and other conditions. Therefore, when diagnosing the disease, it is important to understand the exact meaning of the patient's symptoms in order to make a correct diagnosis.

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